Download PRS 003

PRS 003
DECLARATION
(Registration as Private Retirement Scheme (PRS) Distributor)
We, [name of applicant], hereby state our intention to register with the Federation of Investment Managers
Malaysia (“FIMM”) as a [PRS Provider/Institutional PRS Adviser/Corporate PRS Adviser]. For this purpose, we
hereby:
1.
declare and confirm that all information and documents provided to FIMM pertaining to and for
purposes of our application and registration with FIMM are true and accurate;
2.
declare and confirm that we are fit and proper as prescribed under Chapter 4 of the FIMM’s
Consolidated Rules;
3.
declare and confirm that we fulfil the eligible requirements prescribed under the FIMM’s Consolidated
Rules;
4.
undertake and agree to be bound by and comply with the FIMM Rules, relevant rules and guidelines
of the Securities Commission Malaysia and other applicable laws at all times;
5.
undertake to ensure that our officers, employees and PRS consultants be bound by and comply with
the FIMM Rules, relevant rules and guidelines of the Securities Commission Malaysia and other
applicable laws at all times;
6.
timely and fully pay all fees and charges imposed by FIMM and do all things necessary for our
continuing registration with FIMM;
7.
confirm and undertake to ensure that, pursuant to the Personal Data Protection Act 2010, we have
the consent of our PRS consultants, officers and employees for the disclosure to and use by FIMM of
their personal data;
8.
undertake to provide all information and documents requested by FIMM for purposes of our
application and registration, including the registration of our PRS consultants; and
9.
undertake to provide our full cooperation and assistance to FIMM in all matters pertaining to our
application and registration, including in relation to our PRS consultants.
**
________________________________
Signature of authorised representative
[Affix applicant’s Common Seal]
________________________________
Name of authorised representative
__________________________________
Director
___________________________________
**Director/Secretary
Dated this ____________________ day of ________________________, __________
(month)
(year)
**As applicable